| Momentum For Life Counseling | |
|
1801 Woodfield Dr Ste 103 Savoy IL 61874-9505 | |
| (217) 366-3417 | |
| (217) 954-9292 |
| Full Name | Momentum For Life Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1801 Woodfield Dr Ste 103, Savoy, Illinois |
| Authorized Official Name and Position | Kelly-jane Monahan (OWNER) |
| Authorized Official Contact | 8183078656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum For Life Counseling 1801 Woodfield Dr Ste 103 Savoy IL 61874-9505 Ph: (217) 366-3417 | Momentum For Life Counseling 1801 Woodfield Dr Ste 103 Savoy IL 61874-9505 Ph: (217) 366-3417 |
| NPI Number | 1538708920 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 1951719855 |
|---|---|
| Medicare Enrollment ID | O20210414000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538708920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtney Ann Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265099790 PECOS PAC ID: 8426466525 Enrollment ID: I20210408001966 |
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